III_2_17 Tobacco Use

III.2.17 Tobacco Use

There are four separate fields for Tobacco Use. The fields are:

Tobacco Use Cigarette
Tobacco Use Other Smoke
Tobacco Use Smokeless
Tobacco Use NOS

These fields record the patient's past or current use of tobacco. Tobacco use should be recorded from sections such as the Nursing Interview Guide, Flow Chart, Vital Stats or Nursing Assessment section, or other available source from the patient’s hospital medical record or physician office record.

The collection of Tobacco Use will be divided into three types of tobacco products and when tobacco use is indicated, but type is not specified:

Cigarette smoking
Smoking tobacco products other than cigarettes (e.g., pipes, cigars, kreteks)
Smokeless tobacco products (e.g, chewing tobacco, snuff, etc.)
Tobacco, NOS

The codes are:

Code	Description
0	Never used
1	Current user (i.e., “current user” as of date of diagnosis) (added July 2011)
2	Former user, quit within one year of the date of diagnosis
3	Former user, quit more than one year prior to the date of diagnosis
4	Former user, unknown when quit
9	Unknown/not stated/no smoking specifics provided

If the medical record only indicates “No,” use code 9 (Unknown/not stated/no smoking specifics provided) rather than “Never used.” If the medical record indicates “None,” use 0 (“Never Used”).

The CDC will use the volume of cases coded to “9” to help determine the availability of information related to tobacco use in the medical record.

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